Case report: Meningoencephalocele and recurrent bacterial meningitis in chronic idiopathic intracranial hypertension

被引：5

作者：

Zhang, Jinru ^{[1
]}

Wu, Jianchao ^{[2
]}

Wu, Yue ^{[3
]}

Wang, Yaye ^{[3
]}

Han, Jingzhe ^{[4
]}

机构：

[1] Third Hosp Shijiazhuang, Dept Neurol, Shijiazhuang 050000, Hebei, Peoples R China

[2] Hengshui Peoples Hosp, Dept Emergency, Hengshui 053000, Hebei, Peoples R China

[3] Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing 100053, Peoples R China

[4] Hengshui Peoples Hosp, Dept Neurol, 180 Renmin East Rd, Hengshui 053000, Hebei, Peoples R China

来源：

BMC NEUROLOGY | 2022年 / 22卷 / 01期

关键词：

Meningoencephalocele; Recurrent bacterial meningitis; Chronic idiopathic intracranial hypertension; ENCEPHALOCELE;

D O I：

10.1186/s12883-022-02959-w

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background Meningoencephalocele is a rare malformation caused by congenital and acquired lesions. The association between recurrent bacterial meningitis and meningoencephaloceles with cerebrospinal fluid (CSF) leak is reported in the literature. We report a rare case of meningoencephalocele secondary to chronic idiopathic intracranial hypertension as a result of hospitalization repeatedly for meningitis due to the lack of CSF leak. Case presentation This study presents a case of a patient with a decade of recurrent meningitis. With clinical symptoms and imaging examination with chronic idiopathic intracranial hypertension, this patient was diagnosed with meningoencephalocele. With the treatment of acetazolamide to decrease CSF product, the patient had no recurrence of meningitis over the 6-months follow-up period. Conclusion In patients with recurrent intracranial infections but no history of immunodeficiency, cranial trauma, or neurosurgery, the possibility of meningitis should be considered appropriately, even in the absence of CSF otorrhea or rhinorrhea.

引用

页数：4